SYRINGA OUTPATIENT SURGERY CENTER
NPI 1972179208
Clinic/Center - Ambulatory Surgical in Meridian, ID

Q: What is Idaho Otologic Surgery Center, LLC's NPI number?

The NPI number for Idaho Otologic Surgery Center, LLC is 1972179208. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Syringa Outpatient Surgery Center.

Q: What is Idaho Otologic Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 27, 2021CLIA 13D2255657 · Waiver

1209 N SUMMERBROOK AVE STE 110, MERIDIAN, ID 83642(208) 938-5823(208) 963-3270 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Aug 9, 2021, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Syringa Outpatient Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYRINGA OUTPATIENT SURGERY CENTER (NPI 1972179208) is a healthcare organization registered as an ambulatory surgical in Meridian, Idaho and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists James Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1972179208

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameIDAHO OTOLOGIC SURGERY CENTER, LLC

Location Address1209 N SUMMERBROOK AVE STE 110Meridian, ID 83642-8760

Mailing Address13900 W Wainwright Dr Ste 102Boise, ID 83713-5028 · (480) 455-2769 · Fax (208) 963-3270

Phone(208) 938-5823

Fax(208) 963-3270

Organization SubpartNo

Authorized OfficialJames CrawfordOwner · (253) 278-4304

Enumeration DateMay 27, 2021

Last NPPES UpdateOctober 6, 20224 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1972179208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1209 N SUMMERBROOK AVE STE 110, Meridian, ID 83642

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Other Names 1

Doing Business AsSyringa Outpatient Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2255657

Idaho Otologic Surgery Center Dba Syringa Outpatient Surgery Center · Meridian, ID

Active · expires Mar 15, 2028

CLIA Number13D2255657

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 16, 2026

Certificate Expiration DateMarch 15, 2028

Laboratory DirectorJames V. Crawford

Laboratory Phone(208) 938-5823

Laboratory LocationIdaho Otologic Surgery Center Dba Syringa Outpatient Surgery Center1209 N Summer Brook Ave #100, Meridian, ID 83642

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDAHO EAR AUDIOLOLGY

Audiologist

1209 N SUMMERBROOK AVE STE 110
MERIDIAN, ID 83642

Ada County (208) 938-5823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Otologic Surgery Center, LLC's NPI number?

The NPI number for Idaho Otologic Surgery Center, LLC is 1972179208. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Syringa Outpatient Surgery Center.

Where is Idaho Otologic Surgery Center, LLC located?

Idaho Otologic Surgery Center, LLC is located at 1209 N Summerbrook Ave Ste 110, Meridian, ID 83642. The listed phone number is (208) 938-5823.

What is Idaho Otologic Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Idaho Otologic Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2255657) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Otologic Surgery Center, LLC accept?

Health plans from Providence Health Plan list Idaho Otologic Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Otologic Surgery Center, LLC was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.